| Doctor Name: | ALLAN CARL KOENIG |
| NPI Number: | 1043248966 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 26131 |
| Business Practice Address: | 3959 E 120th Ave Thornton, CO - 802331657 |
| Business Phone Number: | 3034524343 |
| Business Fax Number: | 3034523055 |
| Mailing Address: | 3959 E 120th Ave, THORNTON |
| State: | CO |
| Postal Code: | 802331657 |
| Phone Number: | 3034524343 |
| Fax Number: | 3034523055 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |